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Introduction

Tidal Volume (VT)

VT measures the amount of air inspired during normal respiration, without any effort. This measurement is important to assess when weaning a patient from a ventilator, to ensure that the patient has adequate volume of air when taking a normal breath.

Procedure

  1. Have the patient either sit or stand. Place nose clips on the nose and instruct the patient to breathe normally through a mouthpiece/filter (bacterial/viral) combination into the spirometer.

  2. Repeat step 2 two or more times until the two best values are within 5% of each other. Select the largest inspired volume value.

Clinical Implications

  1. Low VT indicates inadequate oxygen/carbon dioxide exchange.

  2. Low VT during ventilator weaning trials may indicate inability of the patient to be successfully removed from ventilator support.

Interventions

Pretest Patient Care

  1. Instruct the patient about the purpose and procedure of the test and the need for patient cooperation.

  2. Follow guidelines in Chapter 1 for safe, effective, informed pretest care.

Posttest Patient Care

  1. Review test results; report and record findings. Modify the nursing care plan as needed.

  2. Follow guidelines in Chapter 1 for safe, effective, informed posttest care.

Reference Values

Normal